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4082 Meadowlark Rd Use BLUE or BLACK Ink r For Office Use City O11 T Eayn i Permit I Permit Fee: 5~✓`7 rJ(~ 3830 Pilot Knob Road I - - I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I ! 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Dater Site Address: Tenant: i~t, Suite RESIDENT/OWNER Name: Gb> LJty3 S~f . L ~-e x4phone: Address / City / Zip: e, Applicant is: Owner Contractor TYPE OF WORK Description ofwork:' Cu✓-L41 d, lie✓ . ~'1~ t Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: ~b~ itA fie{ q,. e..944<_, City: N► e 1C e.~ State: .N Zip: y Phone: J y 3 L -TgLi Contact: 1~ ~ r✓~ Email: tt? c~ ~ t ~ ~LL~ : C clfh COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi3herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance w. h the ap roved plan in the case of work which requires a review and approval of n . X_ ~i x Applicant's Printed Name A pl nt' nature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use City O11 T Eayn i Permit I Permit Fee: 5~✓`7 rJ(~ 3830 Pilot Knob Road I - - I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I ! 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Dater Site Address: Tenant: i~t, Suite RESIDENT/OWNER Name: Gb> LJty3 S~f . L ~-e x4phone: Address / City / Zip: e, Applicant is: Owner Contractor TYPE OF WORK Description ofwork:' Cu✓-L41 d, lie✓ . ~'1~ t Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: ~b~ itA fie{ q,. e..944<_, City: N► e 1C e.~ State: .N Zip: y Phone: J y 3 L -TgLi Contact: 1~ ~ r✓~ Email: tt? c~ ~ t ~ ~LL~ : C clfh COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi3herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance w. h the ap roved plan in the case of work which requires a review and approval of n . X_ ~i x Applicant's Printed Name A pl nt' nature Page 1 of 3 INSPE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 ? SITEADDRESS: , „, PERMIT SUBTYPE: n fa? rir t: 3,> APPLICANT: , ?\..... ' r. i , ., . ,. C TYPE OF WORK: f,nk I i I i I I ra INSPECTION ., . .. 1:, , , ?I , r!, I ON RECORD PERMIT TYPE: Permit Numher: rs Date Issued: ? i/•' k/ ")i Permit No. Permit Holder Date Telephone # 5/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dete Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. IJ / Deck Final Tla2 Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: ' Site dress BLOG. TYPE WORK DESCRIPTION ? Lot? Block Sec/Sub Res. New ' ? m Name Mult Add-on I ec Address Comm. Repair I c City Phone Other ? Name c Address p City Phone TYPE OF WORK Forced Air M BTU ler M BTU t Heater M BTU Cond. M BTU it CFM , Gas Piping Outlets # FEE: S/C: TOTAL• FEES j RES. HVAC 0-100 M BTU - E24.00 a ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) ; GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. 'j COMM/IND FEE - 1% OF CONTRACT FEE ' APT. BLDGS. - COMM. RATE APPLIES ? TOWNHOUSE & CONDOS - RES. RATE APPLIES ? MINIMUM RESIDENTIAL FEE - ALL ADD-ON & i REMODELS - 12.00 i MINIMUM COMMERCIAI FEE - 20.00 STATE SUflCHARGE PER PERMIT ? - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $7,000) ? j a k SIGNATURE OF B$RMITTEE i FOR: CITY OF EAGAN ??s ????? a.-?-?. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date ? ,19 Site Address t'(" i- Lot Block Sec/Sub. ' ? ' ' « •' `A E•," t Parcel No. ` ' , , > a+ W Name INC z Address ' *' ` ; %,LSIr) ° Ciry Phone '33-Gi62 ¢ p Name ? Q Address ?m City Phone Name_ Address City_ I hereby acknowledge that I have read this application and state that ihe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Otticial OFFICE USE ONLY On Sife Sewaga _ Occupancy MWCC Syatem h Zoning On Sife Well (Actual) Const Ciry Water (Allowable) PRV Required _ # of Stories Boaster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks TOTAL R-3 44. ' 394.00 i'. " ' Parmit No. Parmit Holdar Daie Talaphone # Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. ?7 _ ? Rough Htg. Isul. % Fireplace Final Htg. Final Plbg. S? Bldg. Final Cert.Occ. ?j Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 4 • c j (gpr#ifiratr of (Orrupttnry Ctp of eagan EPpttrtttrnt uf luilbing Jttspertiun This Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time ojrssuance this structure was in campliance wrth the various ordinances of rhe City regulating building constructron or use. For the following.• ux ctmsir.fi.. 1(F 4 BWg. Pormit No. 15000 Oavpeocy Type A31 Zooieg putrict R4 Type Coost VN OwnttofBuilding HAVM UTMT-RI`?, DE• Addree 14442 ?OR BL?9 EM Building Addras 4088 S. MFAD?I.AIIIC RSAD L?Iity 14. B 19, HndAI`IIlAiE 3RD I' ,,? Du: APRII. 7.1989 Building ?aaY" POST IN A CONSPICUOUS PLACE . . , ' ? ? CONTRACT PRICE: . ,. . ,. _ .... -, PERMIT # - PLUMBING PERMIT RECEIPT # R51 ? .J S:;I- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?% ?? •? PHONE: 454-8100 Site Address Lot V Block /o Sec/Sub ? Name ? ?.r?_-?? ;i,-G r/?6 m Address c City Phone ?l 4-'e' Name ?L1C 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE R CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNA I VHE OF PERMITTEE ?FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ?- New ?- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ! Water Closet - $3.00 $ ?Bath Tubs - $3.00 Z Lavatory - $3.00 3 Shower - $100 ) Kitchen Sink - $3.00 - ' -Urinal/Bidet - $3.00 _1 Laundry Tray - $3.00 Z Floor Drains - $1 50 '/ 1 _-/-Water Heater - $1.50 f 11' _Whirlpool - 53.00 Z Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) -Softener - $5.00 Well - $10.00 _Private Disp. - $10.00 ? Rough Openings - $1.50 FEE: V „ STATE S/C: GRAND TOTAL: 4' Site Lot. - Name _ ?o Address c Ciry _ PERMIT # MECHANICAL PERMN7 RECEIPT # CITY OF EACRAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ PHONE: 454-81 QO 612 P WOR DESCRIPT BLDG. TY E K pc IAO b Res. ? New ,. R< AJR COND. C.. Mult Add-on )RTH F.`JE 50. Comm. Repair . ?i . :,:,a; c Other FEES ? Name " 14?f HVAC 0-100 M BTU RES - $24 00 c Address / . ADDITIONAL 50 M BTU . - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 1 PER PEkMI'r) GAS OUTLETS (MINIMUM - 1 50 EA - . . TYPE OF WORK EE NTRACT n FE Forced Air - ?' M BTU APPLIES APT BLDGS. COMM. RATE ? TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 I Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM ?_ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) I Other ' ' ? •iu FEE S/C: ?v SIGNATUREOFPERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 { SITE ADDRESS• INSPECTION RECORD? PERMiT TYPE: Permit Number: Date Issued: APPLICANT: I • lui ? 1s+=:?. rii nu„wi nuF I PERMIT SUBTYPE: TYPE OF WORK: ftiI I I ?+rN t; 0 1 $! 1.,, E! / / 1 4 f 9'3 AUlI ) ( 1 nM INSPECTION D• • D• IF -1 Permlt No. Permit Holder Date Telephone u S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Firaplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bltlg. Final Deck Ftg. J Deck Final Well Pr. Disp. ? . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: s' ?•' •' I Eagan, Minnesota 55123 Date Issued: ?•'14 I`1; (612) 681-4675 I SITE ADDRESS: i y APPLICANT: ,I 'I PERMIT SUBTYPE: i TYPE OF WORK: N 1 tJ k1p T11) IV ((iAS) INSPECTION .A • .• Permlt No. Permtt Hotder Date Telsphone # SNV PLUMBING HVAC ELEC ,4 ELECTRIC Inapection Date Insp. CommeMs Footings I Foundetion Framing Roofing Rough Pibg. Rough Htg. Isul. Freplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter ' ' EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. e. '? " d".w?aa CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bax21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for : "' Est Value ? SS ?000 4 a^C%1l Receipt # SiteAddress "A' Lot ? Block lo Sec/Sub. P.l.ni•,i:a:.r,F: 3k3i Parcel No. lI1C a Name = Address LYC 0 City Phone ¢ ,o Name ? Q Address P City Phone V y j W Name _z. Address e W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OFFIC E U5E ONLY On Site Sewege _ Occupancy MWCC System '' Zoning On Site Well (ACtual) Const Ciry Weter ? (Allowable) PRV Required _ # ot Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit Planner Surcharge Council Plan Review 81dg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks TOTAL b- V- L. .. l. ?2' 44 V 1GC.? 55U.i i? 67.,;., Gu. r . . 2 -94TC-311 Permit No. Permit Nolder Data Telephone X PluRibing H.V.AC. lSG^ Electric Softener Inspection Data Insp. COmrllent8 Footings I Footings II Foundation Framing i DX Rooffng Rough Plbg. VWff - /b/ _ S -1.3 -YA? Rough Htg. ? S lSUl. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. ? Temp. LP Deck Ftg. • Dffck Final Well Pr. Disp. s . . v (Itrtif iratr nf (Orrupanry Citp of (Eagan ae}rartmrut uf luiiding jts,prrtinrtt This Cenificate rssued pursuant m the requirements of Section 306 of the Uxiform Building Code cenijying that ar the time of issuance thi.s structure was in compliance with !he various ordinances of the City regulating building conslruclion ar use. For the following.• u. cL..r.,. I OF 4 &dg. Ftrma No. 14999 Occuparcy 7ype R3 Zooing District R4 Type Cunst. VN OxmerofBuildingHINVEN MEMSE.5. IM . pdArcss 14442 MMMOR ffi.VD.• MMpi euikhng aaams4086 C. hF.AT][I,ftAfBt %uU] Lmality I.3. BIO, HEII14NDAtE 31? ZLt. % neu: ? 14, 1990 ? euacnng bis?;.?? POST IN A CONSPICUOUS PLACE PERMIT k , E ?. . PLUM81NCrPERMIT RECEIPT# g??Gd? CITY OF EAGAN 3830 PILOT KNOB HOAD, EAGAH, MN 55122 DATE CONTRACT PRICE: • PHONE: 454-8100 Site Address 2"'L4 -'?' <i? ??/,.a K Lot Block /0 Sec/Sub , %' z? ' m Name " m '., ?r.; ?? , .:, Address -' ? c City d??'?l L Phone Name 3 Address p City Phone FEES COMM/IND FEE - 19'o OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCNARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) r SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. X New X Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Closet - $300 $ ? Bath Tubs - $3.00 - ?Lavatory - $3.00 - -Shower - $3.00 -LKi±chen Sink - $100 -Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ?Floor Drains - $1.50 ?Water Heater - S1.50 Whnipool - $3.00 -LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn -Softener - $5.00 _Well - $10.00 _Private Disp. - $10.00 Rough Openings - $1.50 FEE: y y ` ° STATE S/C: GRAND TOTAL: ? y 1-7' - PERMIT k ? , • MECIIANICAL PgEiMIT RECEIPT # k y? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE:454-8100 Site Addrqss BLDG. TYPE WORK DESCRIPTION Lot Block ??- Sec/Sub ? Res. ?-? New ? ?_ . . Name Mult Add-on Address t-' Comm. Repair ? Cit P ' Other c y hone FEES ? Name =<?` HVAC 0-100 M BTU RES -$24 00 c Address . ADDITiONAL 50 M BTU . - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFMIn - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM fl; (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # !- ) BEYOND $1,000) Other $ FEE: i ? 'LIr% ! S/C: " SIGNATURE OF PERMITTEE TOTAL: ? FOR: CITY OF EAGAN ? --------- --- CONTRACT PRiCE: Site Add.ress ?u {+,' Lot ? m Name ? Address ?? - - , c City ? c Name ?=- Address ? - ? Q Cilty ' TYPE OF WORK 'i Forced Air ' Boile? Unit Heater Air Cond. Vent Gas Piping OuUeb M ome? MECNANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, E/1GAN, MN 55122 Phone Phone M BTU M BTU M BTU M BTU CFM PERMIT # l42fv?7"s? <-? .- AECEIPT # -" DATE: , BLDG. TYPE WORK DESCRIPTION Res. New MuR Add-on ? Comm. Repafr Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn COMMIIND FEE -1%OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS- RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS TOTAL: ?•i J c - $24.00 PERIAIT FEE; SIC: ., ;? ' 6.00 - 1.50 EA. 12.00 MINIMUM COMMEflCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) , SIGX? /,/ /.1LclEr-r //S C/'rJi' Y/,.;.?/ ?FOR: CITY OF EAGAN S_t .... ._. .Ir,..-. . . .. . '..r . - ..(? ? ?. -T- - ? - PERMIT # ; ? MECHANlCAL.AEWMIT RECEIPT# CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: , CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: i I Site Address •' ` DESCRIPTION O BLDG. TYPE W RK Lot BI ck Sec/Sub . ; i Res. New M C K e i ? Mult Add-on ° d Name ?- m _ Address HEATIirG & A!R C01'O r n t; ;rip7,,,.,, . Comm. Repair Oth N c + ? d - City M,NNWni ie U p? er '1-9000 FEES ? Name r RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) . I GAS OUTLETS (MINIMUM - 1 PER PERMn - 150 EA. TYPE OF WORK COMM/IND FEE - 746 OF CONTFiACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond M BTU MINIMUM CONiMERCIAL FEE - 20.00 + . STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES 4 Gas Piping Outlets # BEYOND $1,000) Other ? FEE: S/C:? SIGN???[. E TOTAI: FOR: CITY OF EAGAN `, _. . , .. BUILDING PERMIT To be used for 1 OF ;. Est. Value S55*00(}. Date Site Address `•C';?iG RD Lot ° Block I`) Sec/Sub. Parcel No. c Name r?VtE"` ENTr.W?iiISES, 1`:t. = Address EXC?LSJ0k DLYI; ° City Phone 933-05u2 c p Name ? ? Address P City Phone ?Q ?W Name WW _zr, Addre U `W Cilty_ Building Official CITY OF EAGAN I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee f' :.. 1 I}L?? A Building Permit is issued to: i ' on the express condition that all work shall be done in accordancewith all applicabie State of Minnesota Statutes and City of Eagan Ordinances. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 . ,19 OFFIC E USE ONLY On Ske Sewege Occupancy " MWCC System Zoning On Site Well (Actual) Conat CiryWater 4 (Allowable) PRV Required of Stories ` Booster Pump Length Deplh S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ' ' - Planner Surcharge Council Plan Review Bldg. Off. SAQ City • Variance SAC, MWCC ' ?' ?' •' ` Water Conn. ' ?'0• ' Water Meter Road Unit ? Treatment P1 Parks TOTAL ? ? Permit No. Permit Moldor Date Tslephona # Plumbing C' -a.?1<: H.V.A.C. C g?- ? , ?J b7 Electric 'l?j?,y Softener Inspection Dats Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. .- Rough Htg. DS S '?'kf Isul. V Fireplace Final Htg. ? Final Plbg. ol(-g Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. !4w (gtr#`ifiraft nf (Orrupttnry Cftp of (tagan llF}ttll"bltFtlt Df Nlt[Ibt1t1J lti8}tPl'ttDTt This Cenif cate issued pursuant to the requiremenls of Section 306 of the Uniform Building Code certifying that at the time of issuance this struc[ure was in compliance with the variaus ordinances of the City regulating building constrvcdon or use. For the following: vse classifinrion 1 OF 4 sldg. Pormit No. 14998 Occupency Type ri ZOnIIIg DIBlI1CI R4 Type Const. VN Owoer of BuildingHAVIN 12riElMSES IW• Address 14442 EXE=OR ILVD' , MIKA e' nmras 4084 ° W B]AD Locasry U. BIO, HiTT.gNMTF. 3$p oate: _ OCiOBER 2, 1989 ' euddng offi POST IN A CONSPICUOUS PLACE . . Y . ':f. v c. .. . ? . . , . . . . . . .. r. on . . PERMIT # . ? ?• ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAH, MN 55122 DATE: s/Ow )NTRACT PRICE: PHONE: 454-8100 Site Address %c' - '>' ;o Vc Lot ? Block It' ? Name 1 s,CL /'A`° G Vi/?/C- m Address ` /^? ? ' ??' c City .=zVAPhone Name c Address ' O Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) , BLDG. TYPE WORK DESCRIPTION Res. New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES ? Water Closet - $3.00 TOTAL S _LBath Tubs - $3.00 _LLavatory - $300 - -Shower - $3.00 -LKi?chen Sink - $3.00 - ' ? -Urinal/Bidet - 33.00 Z Laundry Tray - $3.00 LFloor Drains - $1 50 . - ?Water Heater - $1 .50 i ? _Whlripool - 5300 --)_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin -Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 Rough Openings - $1.50 FEE: 3: CITY OF EAGAN STATE S/C: GRAND TOTAL: -'' ? `1 ? ? . CONTRACT PRICE: ?k' SiteAddrgss lG Lot Block ? Name m Address c City L Name c Address O CitY TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. MECHANICAL PEI CITY OF EAGA 3830 PILOT KNOB ROAq, EA Phone U M BTU M BTU M BTU M BTU CFM PERMIT # RECEIPT # L MN 55122 DATE: - ? I k BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 AODITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PENMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. NATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ,J REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets q r/ BEYOND $1,000) Other $ FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN ? -- -? -- .: -= - • CITY OF EAG AN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-5100 BUILDING PERMIT Receipt# To be used for Est Value • Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Sk* Sewage Occupency MWCC System _ Zoning Parcel No. On Site Well (Actual) Const a Name . • • - - Ciy Water X (Allowable) W = • • i ,' Address PRV Required - # of Stodes ? 3 ° I j 3-(:562 City Phone Booster Pump Length Depth p Name S.F. Totel , ? i Address Footprint S.F. ?= City Phone APPROVALS FEES ?0, W W Name Engr./ASSess. Permit W _ Address Planner Surcharge F3 i W City Phone Council Plan Review gidg. Ott. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter ' Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 ' on the express condition that all work shall be done in accordance with all parks applicable State ot Minnesota Statutes and City of Eagan Ordinances. -?- TOTAL Building Official . Permit No. Permlt Holdar Dats Telsphone it Plumbing ?`? ? H.V.A.C. CJgCt' A ti`zG L ??? eiectric SoRener Inaoaction oate Insp. Comments Footings I Footings II Foundation Framing ?'? Roofing Rough Pibg. y3 y Rough Htg. ? IsuL ? Fireplace Final Htg. Final Plbg. 81dg. Final Cert Occ. ?-y Temp. LP Deck Ftg. Deck Final Well Pr. Disp. w 1 • 4 (gpr#ifirate nf (Orrupttnry Citp of eagan Er}rttrtmrtct of fuilbing Am,pertinn This Certifrcate issued pursuant to tke requiremenu of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the vwious ordinances of the City regulating building construction ar use. For the jallowing.• ux c,6ioieauo. 1 OF 4 Mg. pt,ni;, No. 14997 o=aaY Type R3 Zon;ng Dtsomi R4 rra VN O? of Bay,g HAVEN ENTERPRISES, lgr. 14442 EXCELSIOR BLVD., MTKA. s,,;4,; A,d,m 4082 S. ME.W(x7L.ARK R1AD Lominty Ll, B10, HIILAPII]ATE 3RD ? ? ?: APRII. 196 1989 Buildifi6? 1 POST IN A CONSPICUOUS PLACE . .. , . ...._ .. .. .. ... . , .;.. . F'?r' - .. .?-?.?F• . . ;?Y?? . r : ` . ° .v. . .. ? , .?a.. ... . . . . ... , ?. . . ... PERMIT# .? ?: ? ? ? • • PLUMBING PERMIT ? RECEIPT p CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -? /V )-Y )NTRACT PRICE: PHONE: 454-8100 Site Address -14, j 'T --o -+7c,44wr? Lot "I Block /° Sec/Sub y Name '- ) - r.% • + i G m Address c City- =-tkinGG phane Name //,??s'..i /: ; % 3 Address " p City Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BLDG. TYPE WORK DESCRIPTION Res. X New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Closet - $3.00 $ ?Bath Tubs - $3.00 --' ' ' ? Lavatory - $3.00 -Shower- $3.00 -1-Ki?chen Sink - $3.00 -Urinal/Bidet - $3.00 _Z Laundry Tray - $3.00 ? Floor Drains - $1.50 Water Heater - $1.50 _Whlrlpool - $3.00 Gas Piping Outlets - $1.50 / j (MINIMUM - 1 PER PERMIT) -Softener - $5.00 -Well - S10.00 ; ? . . , Private Disp. - $70.00 • Rough Openings - $1.50 SIGNATIlRE OF PERMITTEE PEE: " I Y7' a STATE S/C: - ., FOR: CITY OF EAGAN GRAND TOTAL• PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: , CONTRACT PRICE PHONE: 454-8100 Site Address '' ? BLDG. TYPE WORK DESCRIPTION Lot 'Qlock ub Res New "?` ' Mult Add-on Name bTzj i c 1. Comm. Repair m Address ,,NNE - At-e , Other c City PhAne_ FEES ? ? Name „ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1 TYPE OF WORK . . COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ? J M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES , Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM rOMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 , Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES I Gas Piping Outlets # BEYOND $1,000) I Other R FEE: .5U • ' ,: ?Y,.•::)J?u;,' f'- .:..?'G,/i?*'F". I h S/C: ' U SIGNATURE OF PERMITTEE TOTAL: ?I FOR: CITY OF EAGAN ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHON E: 454-8 BUILDING 100 PERMIT Receipt# To be used for Est. Value Date Site Address ?-(-'"1.At`K OFFICE USE ONLY Lot Block Sec/Sub. '"??•'•'''?"•'• 3? OnSiteSewage _ Occupancy MWCC System _ Zoning ParCel NO. On Site Well _ Type of Const Cit Waf r A t a Name - -? Ii.LAt:s iAi,?; y e _ ( c uan (Allowable) z - : ...., ;'.?'r 8 L'V I. Address # ot Stories ; ? City Phone 933-C, Sf,;: Length Depth F T l S t . . o a a .O Name ' t•,.: xl';'1t=".$ 1?{; Footprint3F. z 0 < Address APPROVALS FEES ? City PhOne Assessments _ Permit `I ". " ? ¢ water/Sewer _ Surcharge pj W Name Police _ Plan Revfew ~ = _- Address Fire - SAG City o= i City PhOne Engc SAC, MWCC W Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscorcectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and Ciry of Eagan Ordinances. Variance _ Parks Signature Of Permittee Copies TOTAL A Building Permit is issued to: ? on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinancea Building Official I I Permit No. I Parmit Holdsr I Dats I Telephone iF I II H.V.A.C. ElectriC Softener Inspection Date Insp. Commants Footings I Footings ?I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. I I Deck Frmg. Pr. Disp. CITY OF EAGAN ? 5000 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt Tobeusedfor 1 GF 4 Est.Value $55,000 Date MAY 1} 19 $& Site Address 4088 S 1lBADOiJLAAK RD Lot 4 Block 10 SeclSub. HILI.ANUALF. 3Rll Parcel No. x Name liAVEA £lfTERPRIiES y 1teC 29. 3 Address 14b42 EXG6LSibii BLVD ° City MUA Phone 933-0562 , a Name SME ? Q Address P City Phone pj WW Name F _g Address Q W City Phone c I hereby acknowledge that I have read this application and state that the information is cORect and agree to comply with all applicable State of Minnesota Statuies and City of Eagan Ordinances. Signature of Permittee A B"ui MAVEN EN1't:RPR13?S3 iNC l?ing Permit is issued to: on the express condition that allworkshall be done in accordance with all applicablc State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy A-3 MWCC System X Zoning A-4 On Site Well _ (Actual) Const Y"N City Water X (qllowable) V-N PRV Required # of Stories 2 Booster Pump Length 21 ' Depth 4'41 S.F. Total Footprint S.F. APPROVALS FEES 394•00 Engr./Assess. Permit 27 50 Planner Surcharge . Council Plan Review 197•00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC _ 550•00 Water Conn. 550.40 WaterMeter 67•00 - Foad Unit Treatmeni P1 ? '? Parks TOTAL • . ? CASH RECEIPT '?• CITY OF EAGAN ? 3830 PILOT KNOB ROAD ' .? EAGAN, MINNESOTA 55122 ,i . DATE ' I( 19 FAda l AMOUNT $ 7 ? 1 & DOLLARS im ? CASH 6Q CHECK Faq ? + ? I ... . , l ., l 1? ? .. • VJhite--Payers CoPY Vellov-PO3ti^9 CoPY Plnk-File Copy Thank You . ,. BY ??- l CITY OF EAGAN ; ,t 999 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# Tobeusedfor I O;' 4 Est.Value $55tOOO Date MA7 11 ,1g Zi8 Site Address 4086 8 MUoowt.AAr.c Rn Lot 3 elock 10 Sec/Sub. HZLE.A<VDALE 3!tD Parcel No. m Name ??V-rN ENTERP'r:1SES, IR`C ; Address 14442 EXCELSIGR &LYD ° ? City '4T? Phone ?'?33-95?'z ¢ , o+ Name S.AKER z ?' o QA Address P City Phone ? W W y? Name ? =n Address ? W City • Phone I hereby acknowledge that I have read this application and state that the inforMiation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ? ??-- - A BuiFding Permit is issued to: ?V£t7 EMTI!RP4lISE'.s, FNC' on the Bzpress condition that allwork shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ OFFICE USE ONLY On Site Sewage Occupancy A-3 MWCC System ? Zoning [A"4 On Site Well (Actual) Const V-N Ciry Water A (Allowable) V"m PRV pequired _ # of Stories ? ? Booster Pump Length 12 ' Depth S.F. Total FOOtprint S.F. APPROVALS FEES EngrJAssess. Permit 394•00 Planner Surcharge 27* Council Plan Review 197.00 BIdg.Off. SAC, City iQO.UO variance SAC, MwCC 550.00 waterConn. SSC). Water Meter ST _ ClA Road Unit _11-2-1-Da Treatment PI • Parks 2 4 ? TOTAL , . . ? 'CASH RECEIPT +''?`?r ! ' C-4 C,ITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 I ? DATE 7g ? ? AMOUNT ? ?. a? ?--( ? , White--Payers Copy 101 ?? JC ty' y;.,. Yello?POSting Copy +U1 • V 4 Pink-FIIeCopY L Thank You CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 551 21 PHON E: 454-6100 BUILDING PERMIT Receipt# ' To be used for 1 0F 4 Est. Value p 5 5, OoU - Date ?A '+t 11 Site Address 4084 S AtEA?10tJ1.AIiY. RD OFFICE USE ONLY H1LI.ktad.`41LF. 3RU Lot 1 Block 10 Sec/Sub OnSiteSewage _ Occupancy N-3 . MWCC Systam k Zoning K"4 Parcel No. V"N On Site Well (Actuaq Const s Name NA`J'--'IN EWMRYRISBS, INC City Water X (Allowable) V-14 e 1441+2 GXCELSIOR a?.Va Address PRV Required # of Stories 2 o City ?A Phone 933-056i: Boaster Pump Length Z Z? Depth , o Name SAME S.F.Total oQ Address FootprintS.F. U P City Phone APPROVALS FEES ? W Name Engr./Assess. Permit ?y4•? 27 =Z Address Planner Surcharge •50 n aW CitW Phone Council PlanReview 2y7•? Bldg. Off. SAC, City 1 1 herebf acknowledge that I have read this application and state that the Variance SAC, MWCC SgQ• 00 information is c8rrect and agree to comply with all applicable State of WaterConn. 550. flO Minnesota Statufes and City of Eagan Ordinances. Water Meter 67.O0 Aignature of Permittee Road Unit : ? - ABuildin Permit is issued to: }i?1Vi?,bP t;i?TCttYRISES9 t?lC 9 Treatment Pt q- - LU?'+.? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. parks ?[ ??? "-' ????_?? _*?j ? ,/??/?"--- 2 Bultding Official._ TOTAL ' .a. . . . CASH REGEIPj CITY OF EAGAN ? 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 ? DATE 19 i ?cC?veo ? ' j . AMOUNT $ , % I I i _.. ' & DOLLARS i? ? CASH L).'CHECK ?.., 1 Thank You . BY ?..?..,( ; ' .. 1 . White--PayersCoPY Yell?POSUng Copy . ? . Pink-File Copy CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for 1 0F 4 Est. Value $SS*OW Site Address 40$2 $ XULDOWLARK RD Lot 1 Block 10 Sec/Sub.HILLANBALk: 39ll Parcel No. x Name HAY6h ENTEAPRISES, INC z Address 14442 EXCBLSIQR $LVD , ? City MT?+ Phone 933-0562 , I ? fj o Name SA.ME . ? Q Address P City Phone W W ? Name _= ~ Address I hereby apknowledge that I have read this applica[ion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of PcRmittee A Building PermR is issued to: F:AVEN EFi'fERYkI'S$S 9 1NC on Ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Official Receipt # .+ ?. ? I 449S7 Date i9AAY 11 ,19 d8 OFFICE USE ONLY On Site Sewage Occupancy bt-3 MWCC System x Zoning R-4 On Site Well (Actual) Const V"N Ciry Water X (Allowabls) Y-m PRV Required # oi Stories 2 BoosterPump Length 221 Depth 444 S.F. Total Footprint S.F. APPROVALS FEES 394•W Engr./Assess. Permit 50 27 Planner Surcharge • Council Plan Review 197•00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 550•00 water Conn. 550.00 Water Meter 67.00 Road Un' 325.00 204 , 00 Treatme P1 Parks • k14. O 1 TOTAL ± `•f CASH RECEIPT F .'A C1TY OF EAGAN e • 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 DATE ?cErveo I AMOUNT $ ? I I .. . & DOLLARS ,a ? CASH G7 CHECK con ?ri-' i ! ? j . . i - ! 1 I I 1 Bv i - , I ?yA - ?7p?1 wi,na--Parm coar velb?Posung copy Pink-File Copy Thank You CITY OF EAGAN Permit No.• " 3830 Pilot Knob Road Meter No.:?, 15 P.O. Boz 21199 Reade: No.: Eagan, MN 55121 Owner: Site Adcresa• '• ? tf '?j ` ?i jt%`t . ? ,'? ? ? Plumber: SPRINKLER (water only) METERS ARE TO BE INSTALLED AHEAD OF DOMESTIC METER ON WATER i Date: U - J - K ' Size: '? Date: I agree to compty with the City of Eagan Ordinances. LINE. CREDIT WILL NOT BE GIVEN • ii' FOR DEDUCT METERS. gy? PERMIT ? ? CITY OF EAGAN Permit No: ? 3830 Pliot Knob Road E/P No: PA, 8ox 21199 6agan, MN 5512?,, , ? 4-ri En[errz;.a Date: Date: Owner._ So Add Si ress: te ? Plumber: ' MWCC: Zoning, . . City Chg: No. oi Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: , Misc.: BY SEWER SERVICE PERMIT 3830 P P.O. Bc Date Size: Date: Reader No: Eagan, MN 55127 ' Owner. 'av''^ °nteYprises SiteAddress: 41" Oo_ 'Ieadoalark Rd. 1,1 P1?? ''i?_la,iilale T7Z o.._..?._ T..... ? Qf7., n1_.?Lt__ - _ Conn.Chg: 5'0•0')n? Zoning: Acct. Dep: 15- ????-'- No. of Units: ? Permit Fee: I '} . CO;•: ] Surcharge: - 51;:.-. I agree to comply wHh the CHy ot Eagan Tr. Plant 204 _ 00nd Ordinances. Meter. ea e . p Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 PNot Knob Road. Meter,JVo: 7?? 1-6 4( Size: o S ' P.O. Box 21199 Reader Na ??? ?? ?? 7 Datec Eagan, MN 55121 Owner. SiteAddress:---?"''^ 7,1 T I ".1:) ?i11ar,r?alr TTZ ' Plumber. T ' ? Sirin Pliimhinz Conn.Chg: 59'?. !)I-) pc Zoning: Acct. Dep: 19 _ ??OPd No. of Units: ' Permit Fee: Surcharge: 5 ();x' I agree to comply with the CMy ol Eagan Tr. Plant ?n p,? Ordinances. Meter. Misc.: • ,? By WATER SERVICE PERMIT i CITY OF EAGAN 3830 Pilpt Knob Road ° P.O. 0ox 2t799 a Eagan, MN 55121 r Owner: Site Address: 0,88 ? Plumber:. Permit No: 8/P No: Date: ' G ? Date: i ? ale I MWCC: 00pt! ? ; x Zoning• City Chg: ' No, of Units: Acct. Dep: ' ' Permit Fee: 'n_: I agree to comply with the City of Eagan Surcharge: Ordinances. By SEWER SERVICE PERMIT FnEAGAN Permit Na Date: lot lCngb Roach Meter No: Size: x 21199 Reader No: Date MN 55121 fBSS: 49S;1 Sn _I`naAnv] ark L`:? _ T.: R 1 i: 741 1 an:i a 7i, T'fj ? , T,_ake Sic#p Pltnnhing ?nn. Chg: ct. Dep: 550. 04!pd 15 . 0Ond rmit Fee: rcharge: Plant 1'} • `Tn"-1 • 50rd ater. E•7 'Z? id } Zoning: No. of Units: ' I agree ta comply wlth the C1ty of Eagan Ordinances. By WATER SERVICE PERMIT i CITY OF EAGAN Permit No: 9 563 Date: 3830 Pilot Knob Road, Meter No: UU 7?{U a? A?_( Size: 5 wm°lf P.O. Box 21190' Reader No: 45R 416 a 7 7 Date: - org- Eagan, MN 55721 Owner. T'AVea 7nterprises ? SiteAddress LflRr^, Sn Monrlnwlarl. RA T4 R7fl T7illanrlalo TTT ? Conn. Chg: 550. OOn d Zoning: F? Acct. Dep: 15. OO gd No. of Units: 1 Permit Fee 1-0• 00n d Surcharge: . SOp d I agree to comply wfth the City ol Eagan Tr. Plant '- ?4 • 001 2a Ordinances. Meter. 67 Misc.: By WATER SERVICE PERM T CITY OF EAGAN Permit No: Date: ? 3830 PIlo;Knob Road B/P No: Date: F .P.O. 0041199 '`: E Eagan, MN 55121 • , Owner. "-rprise.s Site Address: Plumber: MWCC: ?,. City Chg: Acct. Dep: ' Permit Fee: Surcharge: Zoning- No. of Units: I agree to comply with the City of Eagan Ordinances. By ? SEWER SERVICE PERMIT , 4 Permit No: Date: Raad Meter No: Size: Box 21199 Reader No: 3n, MN 55127 ? Date: Address: Yc. A.,Wt l r+ r'2 ul iTtit a TTI 1 mn. Chg: ;ct. Dep: ?rmit Fee: - 00nd ircharge: ? '"nc Plant eter %= i n'?- •' . Zoning: _ No. of Units: I agree to comply with the CNy of Eagan Ordinances. By WATER SERVICE PERMIT ! CITY OF EAGAN Permit Na y? Date: 3830 PilotJCnob RGad Meter No: Size: ?94 RD?? a. Box 21199 Reader No:dli?? Date: -?? `gan, MN 55121 t wner. te Address: umber. T i3 . nn. Chg: 550 GOr,d Zoning: ct Dep: 15 dC?pci No. of Units: '- rmit Fee: urchar9e: I agree to comply with the Ctty of Eagan Ordinances. , Plant eter. , isc.: B O-ff4 WATER SERVICE PERMIT t'. ' OF EAGAN Permit No: Date: i PiloKnob Road gip No. Date: Box 21199 ? in, MKI 55121 _ i . _ 'k .;o. ' d. - . Address:- > i 2, lber: " C: Zoning- Chg: No. of Units: . Dep: I agree to comply wlih the Cfly of Eagan iit Fee: harge: Ordinances. .. BY SEWER SERVICE PERMIT CITY OF FAGAN Permit No: Datec 3830 Pilof Knob Road Met4r No: Size: P.O. Box 21199 -Readdr No: Date: Eagan, MN 55121 " . ,. nn. Chg: 550. C0pd Zoning: ct Dep: =5 •?"'^? No. of Units -mit Fee: 1?-. rcharge: I agree to comply wfth the City of Eagan ? Plant ?` 4 • P(?' Ordinances. :a -ter. __. e.. WATER SERVICE PERMIT ' .., ? t, 1 ± CITY Of EAGAN Permit No: Date: ? 3830 Pilot Knob ? Road Meter No: Zl0 7 4-/0I ?6-3 Size: P.O. Box 21199 Reader No: Q R.,/? Date: !i- Eagan, MN 55121 ' ? Owner. . ' SiteAddress: ? iven PnterorjSCs T' ?lanclal t TII - . Plumber. 3e Side T'Lu^ihLlr Conn. Chg: 550. GOnd Zoning: Acct Dep: 15.00nc': No. of Units: Permit Fee: ?-0• ?1'1p0 , Surcharge: ^"a-'' I agree to comply wNh the Clty ol Eagan ??`%v?! Ordlnances. ''?"' Tr. Plant • Meter. Misc.: BY WATER SERVICE PE MIT TAis requesl void a?/?/p, ? / 18 months from ? O 1 d r'' E 2 4 4 6 6 l. 118/12 Reqyest Date" Fire No. Rough-in InsVection Required? EReady Now ? Will Notify Insoec- ? 6- 2 7- 88 13(yes ? No X )()r Whnn Ready R Licensed Eleclrical Contiactor 1 here6y request inspection of abova Owner electrical work installed at: Sveet Address, 8ox or Route No. Ciry 4088 MEADOW LARK EAGAN ecLOn o. TownshiD Name or No. Range No. County . 7 DAKOTA OCCUGant (PRINT) PhOne No. HAVEN ENTERPISES ? 933-0562 Power Supplier Address DAKOTA FARMINGTON Electncal Contractor lComVany?Tlame) Contrar.tor's Licr,nse No. MCNAMARA ELECTRIC, INC A-042608 Mailing Address (Contractnr or Owner Makfng Instailation) P.O. BOX 422 ROSEMOUNT., MN 55068 Authoriz i lure (Cont wn . king Installatfon) Phone Number 423-5505 MINNESOTA STATE BOARD 6F ELECTNICITY THIS INSPECTION REQUEST WRL NO7 Griggs-Midwav Bidg. - Room N-191 BE ACCEPTE? BY 7HE STATE BOARD 1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS Phnnc Ifii91 R49-13ROO ENCLOSED. 7171,,'3`r REQUEST FOR ELECTRICAL INSPECTION . Es-00001-06 IP See instructions fnr comvleting this torm on back of yellow copy. E 24,4% 6 "X" Below Work Covered by Ihis Requesr New, lyld flBD• Type ol Building Appliancae Wired EquiVment WireA Hom2 Ranye Temporary ServiCe Duplex Water Heater Lightiny Fixture, Apt. Building Dryer Electrie Heatin Commercial Bldg. Furnace Silo Unloader ' Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr., Deufv Olhcr ISUocifvl t r,r uecify Othcr Olher Compute lnspectran Fee Below q Fee Service EntrenceSize H Fee Fende,s/Suhfeeders # Pee Circuits 0 to 200 qmps 0 to 30 Am s to 30 Am us Above 200 qmps 31 to 100 Amps 1 to 100 Am s Swimming Pool Above 100_Amps ? Above 100_Amps Transformers Irrigation Boorris Partial.?Other Fee Signs Special Inspection $ TOT Remerks 0_ 5 3. 5 _.syrttq r / C?.??/ 1 Rough-in the ectr' i ? U spector, ereby ertify that 1he abova Final inspection has been ? made. C . _. rMa rwnunst vofA 18 monlhs trom Thi?e9uest void h/?/fy? O1JCi /?/ 18 nths from / d 6 Y . E 2 4 4 6-5 Request U21e , ire No. Nough-in Inspeclion e urted? H Q ?Ready Now Wil I Noti}y, Insper,- 6-27-88 ?Xes ? No m r When Ready R icensed Elec[rical Contractor 1 hereby request inspeclfon of above Owner electrical work installed et: Street Address, Box or Route No. Cfty '4086 MEADOW LARK EAGAN ecvon o. Township Name or No. Range NO. County I I DAKOTA OccuGant (PRWT1 Phone No. HAVEN ENTERPISES 933-0562 Power SuOPlier Address DAKOTA ELECTRIC FARMJNGTON Electrical Con[ractor (Company Name) Coniractor's License No. MCNAMARA ELECTRIC, INC A-042608 Mailin0 AdJress (Contractor or Owner Making Instailation) P.O. BOX 422 Ra5EMOUNT, MN 55068 Auth ri Signature ( ira tor/Owner Making InstaltaUon) Phone Number ?310' .5`' 423-5505 ? NESOTA STA BO OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD 7821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(672) fi42-OSOD ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON w EB-00001-06 ip See inslructfons tor completing this farm on back of yellow copy. E.244 6 J "X" Below Work Covered by This Reqciest New AAd ReD. Type ol Buildin8 APPIianCes Wired EquiVmenl Wired Home Range Temporary Service Duplex Water Heater 4 Lightin,y Fxtures Apt. Building Dryer EIectric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr,F Pecify Ihcr (SpCr,ify) t er Sper.ify Other 01her Comoute lnsnection Fee Below p iee Service Entrance Size p Fee Faeders/5u6feeders # Fe.e Circuits U to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 qmpy 31 to 100 Amps 34 1 to 700 A s Swimming Pool Above 100_Amps Above 100_Amps Transformerg Irrigation Booms Partial•'Other Fee Signs Speciallnspection 5 TO7A Nemarks 53.5 Rough-in I Uije? 1, the Elec ncal ? Inspector, hareby ertify that the above Final Da inspeetion has heen //1 ? made. fnin ronuq¢t vniA 19 month9 trom ?--- 11,443 d? 3 ? ? o 9 0 9 ! , ? Request Da(e '- 1? _ Fire No. Rough-in Inspection Re uiretl? NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection ?? ,?? Ves ? No Is Required. I A licensed contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (Sireet. Box or Roule No.) 4Oglv S. MeaclCw L.a,r K t,oGd Ciry E?_G CA-ivi Section No. Township Name or No. Range No. CouMy Dc? Ko -? Occu ant (P`RINT) 1 I ?-ll?-1 - "- V ? o Phone PJO. Power Supplier Address -? Elecirical Conhaclor (Company Name) , oNns 1 -?ru.c ? Co . Contractor5 License No. Cfl o oqo(o Mailing Adtlress (Contractor or Owner Making Installalion) 2? g ?-4?-e. S?re?-- 5? . ?uv ?10? Authorized SigneWre (ContractoUOwner Making Inslflllation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITV Grinas-MiAwwv RIAa. - Rnnm R.17A QC HIS INSPECTION REQUEST WILL NOT ACGEPTFD BYTHE STATE 80ARD 7821 UniversHy Ave., SL Paul, MN 55104 ?j{ ?/L L.? UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ?^?"?' ?l ? ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION °J I See inslmctions for completing this form on back of yellow copy. M 5 4 6 3 9 .`X" Be7ow Work Covered by This Request ? -? E/ 8? ew `Rdd FlE . TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatinq Apt. Building Dryer Load Management CommJlndustrial Furnace Other (Speciry) Farm Air Conditioner Other (specify) ConVaclor's Remarks: W1Ye 9 a5 -??-eplace Compufe lnspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove 200 _ Amps 10 Amps Si9n5 Inspectorb Use Only: TOTA L Irrigation Booms U ?? r ) JQC) Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE O D OISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify thatthe above inspection has been made. Finai oa? OFFICE U5E ONLY This request vaid 18 moirths from . ? •? a d' 8v "SI?Z/ C r2 4 4 6 4 ?. ? alo 014!7? °-0 Request Date Fire No. flough-in Inspection Required? E]Reatly Nnw ? Will Notify InsDec- ?6-27-88 [3Ves ?No , XarWhenReady H icensed Elec[rical Contractor 1 hereby request inspection ot above twner electrical work installed at: Sireet Address, Box or Route No. - -- City EAGAN ectron o. ownship Name or o. Range No. Counry DAKOTA Occupant (PRINT) Phune No. HAVEN ENTERPISES 933-0562 Power SupOlier Address DAKOTA ELECTRIC FARMINGTON Electrical Contractor (ComVany Name) Contractot's License No. M('NL1M I?l1 F6€?TR ? I ?N6 A-042608 Mail?np Aadress on[rac?or or?wner? kinp InstailalioN P.O. BOX 422 ROS EMQUNT, MN 55068 Author'z SignaWre fCo ct Owne aking Instatiation) Phone Number C33r?2 423-5505 MIRfFJESOTq STAT OARDJOF ELECTRIGITY THIS INSPECTION NEQU[ST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE 90ARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROVER INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. ._...,rsl FOR ELECTRICAL INSPECTION ? Seo instructions for comoleting this +orm on back of yellow copy E `24-464 "X" Below Work Covered by Ihis Request t-. EB-00001-06 A(Id HeD. Type o1 Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Ligfrtiny Fixhires Apt. Building Dryer Electric HeatITi Commercial Bldg. Fumace Silo Unlonder Industrial 81dy. Air Conditioner Bulk Milk Tank Farm Otnrr Pac, v _iher (spedfy) t .r Speclfy Other Other Comnute lnsoeciion Fee Below M Fee Service EntranceSize H Fae Feeders/5u6fexders N Fee Circuits -4 U to 200 Am s 0 to 30 qm s o tn 30 Am s A6ove 200 qmp5 37 to 100 Amps 1 to 100 A s Swimming Pool Above 100-Amps Above 140_Amps Transiormers Irrigation Booms Partial.'Other Fee Signs Speciailnspection S " TOTA Nema rks 53.5 ? ? ? i flou9h-in f D?k? Electrical 5pector, hereby certif that Lhe above Final y inspection has been ? mada. fhie requast void 10 months trom I ='-- This request void 18 nwnths from E 2 4 46 3/ J. 6/01. 2/1i//??,,,.?? Request Date- ~ ? fire No. Rough-in InsUer.tion Required? DReady Now Q W,II Notifv Inspec- ? Q Q [xYes ?No Xor When Heady ? licensed Electrical Comractor 1 here6y request inspeclion ot above ? Owner elecbical work inslalled at: Street Address, Box or Rou[e No. City 4082 MEADOW LARK EAGAN ectnon o. Township Name or No. Ranpe No. Counly I I DAKOTA Occupan[ IPRINTI Phone No. 3?-0562 Power Supplier Address Electrical Contractor (Company Name) CnMractor's License No. MCNAMARA FLF?RTf Tt?f Mailin0 Address (Contractor or Owner^' MAking Instailationl ' P.0 BOX 422 ROSEMOUNT, MN 55068 Authoriz SiBnature (C ra r4Ow r Making Installation) Phone Numbcr cz... 423-5505 MINNESOTq STATE BOAtj?OF ELECTRICITY THIS INSPEGTION REQl1EST WILL NOT Griggs-Midway Bld9. rl?oom N-191 BE ACCEPTED 8Y THE STATE BDARD 1827 UniversitV Ave.. St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS Phone (612)642-0800 ENCLOSED. °717;EQUEST FOR ELECTRICAL INSPECTION . EB-00001-06 See instructions for completing this torm on beck of yellow copy. E 24 4 63 "X" Below Wark Covered by Thrs Request Nev4 Addj Rep. Typa ot Buildine AOPliantef Wired Equiumen[ Wired Home Range Temporary Service Duplex Water Heater Li,yhtiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrfal Bidg. Atr Conditioner Bulk Milk Tank Farm Other Peci v Other t5pr.citvl t r.r $Vecify Other Other nspection Fee Below q Fee Service EntranceSize h Fee Feeders/Subfeeders # Fee. Circuits 0 to 2?? Am s 0 to 30 Am s 0 tn 30 Am s Above 200 qmpy 31 to 100 Amps 14 . 0 1 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial,"Other Fee Signs Speciallnspection • $ 7 OT Rerrvitks 53• S , (??Z l? .a Final ? _ /7 ? ine evwas..exi I?~?a•1 r?? ns ector, hereby rlify thet the a6pve ? D.?, 7? ?nspecfion has been // ?...i - This reQuest vofd 18 monlhs BLDG. PERMIT NO. 15 OnCJ 01-3210 Bldg. Permit U-` ? 01-3422 Plan Check 01-3445 Surch./Adm. ? S ? 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit ?+ r 20-2275 SAC 20-3865 Water Conn. J -5 C) 00 20-3868 Water Trmt. on 20-3716 Water Meter C)? 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL BLDG. PERMIT NO I ? ctq 0 01-3210 Bldg. Permit _ 01-3422 Plan Check _ 01-3445 Surch.lAdm. _ 01-3446 SAC/Adm. _ 01-2155 Surcharge _ 75-3860 Road Unit _ 20-2275 SAC _ 20-3865 Water Conn. _ 20-3868 Water Trmt. _ 20-3716 Water Meter _ 20-2252 Acct. Dep. _ 20-3713 Water Permit - 20-3743 Sewer Permit _ 79-3866 Sewer Conn. _ 28-3855 Park Ded. - TOTAL ? i Cf' U a() ?7 0(-" .S qS. nC) )4 4 ?do C?0 C) C) J on I nz) BLDG. PERMIT NO. 01-3210 Bldg. Permit ' 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. <<' CrJ >?? b 5 50 0(> 0n n TOTAL PERMIT NO. I `'.t q(l 1 01-3210 Bldg. Permit (-)<J 0-3422 Plan Check 197 , 01-3445 Surch./Adm. ?35 01-3446 SAC/Adm. 1-5 ? 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 water Conn. 20-3868 Water Trmt. On 20-3716 Water Meter 6 7 00 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ? C) o oo, 28-3855 Park Ded. TOTAL C), ry 1y 1,50 CITY OF EAGAN N° 15000 ° 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ? ' ? PHONE:454-8 100 - ? BUILDING PERMIT 3 Receipt # 9 To be used for 1 OF 4 Est. Value $55,000 Date MAY 11 ,19 88 Site Address 4088 S MEADOWLARK RD OFFICE USE ONLY HILLANDALE 3RD Lot 4 Block 10 Sec/Sub On Site Sewage _ Occupancy R-3 . MWCC System X Zoning R-4 Parcel No. V-N On Site WeU _ (ActuapConst a Name HAVEN ENTERPRISES, INC Ciry Water _X (AUowable) V-N = Address 14442 EXCELSIOR BLVD PRV Fequired of Stories _? ' ; 0 City MTKA Phone 933-0562 Booster Pump Length 22 - Depth 44' ¢ o Name SAME S.F. Total ---- . o? Address FootprintS.F. Ua ? City Phone APPROVALS FEES ? W Name Engr./Assess. Permit 394_00 Address Planner Surcharge . 27.50 9 ?Z W City Phone Council PlanReview 1 7_00 a Bidg. Off. SAC, City 100..00 1 hereby acknowledge that I have read this application and state that the, Variance SAC, MWCC _ 5$0.00 information is correct and agree to compty with all applicable State Water Conn. 550.00 Minnesota Statutes and City of Eagan Ordi ces. Si nature of Permitt e ? Water Meter 67i00 g __.. _ _ e Road Unit _325.Q0 n Building Permit is issued to:__ xAVEN ENTERPRI5E5._INC 7reatment Pt _ 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. /1 h _ 2,414.50 Building TOTAL CITY OF EAGAN N° 14 9 9 9 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 ` `PHONE: 454•8100 F j / _ BUILDING PERMIT Receipt # f ? \ ? E To be used for 1 OF 4 Est. Value $55, 000 Date MAY 11 ,19 88 Site Address 4086 S AfEADOWLARK RD OFFICE USE ONLY HILLANDALE 3RD Loi 3 Block 10 Sec/Sub On Site Sewege Occupancy R-3 . MWCC System X 2oning R-4 Parcel No. V-N On Site Well _ (Actual) Const e Name HAVEN ENTERPRISES, INC Ciry Water X (Alloweble) V-N = Address 14442 EXCELSIOR SLVD PRV Required # ot stories 2 ? Cit MT? Phone 933-0562 y Booster Pump Len9th 22' Depth 44' ¢ ,o Name SAME S.F.TOtal v a Address Footprint S.F. m i- City phone APPROVALS FEE5 1- ¢ WW Name Engr./Assess._ Permit 394.0 n _g Address Planner Surcharge 27.9Q Q W City Phone Council Plan Review _197 _ nn Bldg. Off. SAC, City n -lnn _ (1 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5 Sn _ nn information is correct and agree to compry with all applicable State of Water Conn. -55g..gQ Minnesota Statutes and City ot Eagan Ordin es. / Water Meter 6_7 Signature of Permittee ?^----?? Road Unit A-2-5 00 A Building Permit is issued to: 1{AVEN ENTERPRIS , INC Treatment Pt 204• on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 2 414.50 Building Official_)&Ih TOTAL , CITY OF EAGAN NO 14 9 9 8 ' 383Q,PIiot Knob Road, P.O. Box 21 -189, Eagan, MN 55121 PHONE:454-8 100 ; I BUILDING PERMIT 3 L.G "t Receipt# 5? To be used for 1 OF 4 Est. Value $55, 000 Jate MAY 11 ,19 88 Site Address 4084 S MEADOWLARK RD OFFICE USE ONLY HILLANDALE 3RD Lot Z Block 10 Sec/Sub On Site Sewage Occupancy R-3 . MwCC System X Zoning R-4 Parcel No. V-N On Site Well _ (Actuaq Const rc Name HAVEN ENTERPRISES. INC cirywater X (qllowable) V-N z Address 14442 EXCELSIOR BLVD PRV Required _ # ot Stories Z ? City MTKA Phone 933-0562 Booster Pump _ Length 221 Depth 44, °`o . Name SAME S.F. Total o a Addres5 Footprint S.F. U 0?' City Phone APPROVALS FEES W W Name Engr./Assess. Permit 394.00 ? Planner Surcharge 27.50 _? Address Council Plan Review 197.00 Q W City Phone Bldg. Off. SAC, City 100. 00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 0 550.0 information is correct and agree to co with all applicable State of 1 Y p Water Conn. _$so. on Minnesota Statutes and City o/f e. Or i na d Water Meter _61QO Signature of Permitlee Road Unit 325-00 n Building Permit is issued ro: HAVEN ENTERPRISES , I Treatment Pt 04.00 on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 2,414.50 BuildingOfficial roraL CITI aF~EAGAN No 14 9 9 7 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ?7 ???? "'1 t BUILDING PERMIT Receipt # ? V 7o be used for 1 OF 4 Est. Value $55, 000 Date MAY 11 ,19 $8 Site Address 4082 S MEADOWLARK RD OFFICE USE ONLY Lot 1 Block 10 Sec/Sub HILLANDALE 3RD On Site Sewage Occupancy R-3 . MWCC System X Zoning R-4 Parcel No. V N On Site Well (ACtuaq Const - HAVEN ENTERPRISES INC City Warer X (Allowa6le) V-N x , Name = Address 14442 EXCELSIOR BLVD PRV Required # of Stories 2 ? City M1xA Phone 933-0562 Booster Pump Length 22' Depth 441 ¢o . Name SAME S.F. Total o Q AddreSS Footprint S.F. u ?x City Phone APPROVALS FEES wW Name Engc/ASSess. Permi[ 394.00 _= Address Planner Surcharge 27 • 50 W City Phone Council Plan Review 197.00 Q Bldg. Off. SAC, City 100.00 1 hereby acknowledge that I have read [his application and state that the Variance SAC, MWCC 550.00 informafion is correct and agree to comply with all applicable State of, WaterConn. 550.00 Minnesota Statutes and City? ?of Eagan Ordin ces. Water Meter 6Z._QQ Signature of Permittee /-/ Road Unil _3 5.00 A Building Permit is issued to: IIAVEN ENTERPRI ES . INC Treatment P1 204.00 on the express condition that all work shall be done in accordance with all applicahle Slate of Minnesota Statute s a nd City of Eagan Ordinances. Parks 414 2 $Q ? ry y A TOTAL , . 8uilding Official .(?A JQA I CITY OF EAGAN BUILDING PERMIT To be used for FOUNDATION Est. Value N_ 14098 Receipt # -i(SJ OCo4 Date AUGUST 28 19 87 Site Address 4082-4088 SO MEADOWLARK RD Lot 1-4 Block 10 Sec/Sub. HILLANDALE 3RD Parcel No. a Name TOWNHOMES OF HILLANDALE ° Address 14442 EXCELSIOR BLVD z City MTKA Phone 933-0562 ? Name HAVEN ENTERPRISES INC .o ?Q Address SAME OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (AcWal) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES 0? City PhOne Assessments _ Permit $15.00 U¢ Water/Sewer _ Surcharge ?y WW Nflme Police _ Plan Revlew r _g Address Fire _ SAC,City o Engc _ SAC, MWCC Q W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this appliCation and state Bldg. Off. _ Road Unit thattheinformationiscorcectandagreetocom lywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and Ci y ot E Ordinances. Variance _ Parks Copies Siglt8tUr60f P6fDlitt66 ? TOTAL M) A Building Permit is issued to: HAVEN ENTERPRISE NC on the express condition that all work shall be done in accordance with all applicablo4t9V of Minnesota S,Otutes apFi City of Eagan Ordinances. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - ' RHONE:454-8100 Building Official SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS fO OCCUPANT SOLD BY MAKE ^ SERIAL NO L-.V ? CITY 7 OWNER INSTALLED BY ?t MODEL !? ?'? /) INPUT / v THERMOSTAT LIMIT._'?t.??' I I pl1 FEB 2 6 l0 LIMIT SETTING 16S u Vh?ld BY- - - FAN SETTING " -- , PILOT TYPE IGNITION MODEL PILOTTIMWG PRESSUR INPUT CFH STACK TEMP. PERCENTCOz v p ? G PEqCENT Oz PERCENT CO ? FORM 235 (REV. 11189) LINER F?OM a4^ Li SIZE !rlV1 ) NUMBER ? &/llEaw?w TEST TAG LIGHTING INST. DATE TESTED COMPANY TESTING NAME OF TESTER FORMDISTRIBUTION: WHITECOPY - JOBFILE YELLOWCOPY - CIN PERMIT #: CITY USE ONLY RECEIPT DATE: 2002 RESIDENTIAL 16IECHA1VICAL #'ERMIT ?PPLICATION crrY oF EAraArr 3830 PnoT KNoB ttn EAfiikP MN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: l oZ-1 7- Dol, ? SITE ADDRESS: U ?'i OWNER NAME: TELEPHONE #: INSTALLER NAME: ?dy?••?? 1.•-'.:'10 C+i41F1 #: 8S; 7 Wentworth Ave. So. - Niinn3apolis, NiN 55420 STREET ADDRESS: r . CITY: STATE: ZIP: Place a check mark next to the permit work type ? Add-on, modification or alteration to existinq dwelling unit $ 30.00 • furnace replacement ??e?n? '7tl dDD ? • air exchanger • air conditionerp?,?? • other 7 n - - Nature of work: ?? • - ? , ( ? ?_ ,? IQ„ State Surchar e $ .50 Total S ?G . a16 r I SIGNATURE OF PEPMI1TFff t/02 CITY USE?ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 CO16IMERC?AL MECHANICAL PEtMYT APPIa1CATION CITY OF EA6AN S$SO PILOT KNOB RD EAfiAN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STTE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: . INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE #: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping SpecifyNature of Work: T~ M ' When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $SOAO minimum fee, wlvchever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%_$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 COMMERCIAL 2002 BUII.DING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl New Gonstruction knterior Im rovement ' • Structural Plans (2) sets • Architectural Plans (2) sets • Architecturai Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) ** . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) " . Master Ebt Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) . Energy Calculations (1) not ahvays" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. PovYer & Lighting Form (1) not always" • Meter siDe must be established . Meter siae must be established • Meter size must be established -if applicable • Project Specs (1) 1 . Energy Calculations (1) 1 • Electric Power 8 Lighting Form (1) 1 • Master Ebt Plan (1) 1 1 • Fire Protection Plan (1)'• 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter qll 651-602-1000 call 651-602-1000 call 651-602-1000 t,ornacL aunaing inspecnons ror sampie Food & beverage or lodging facilities - submit plan to MN Department of Health. DATE: I' 3O- OL WORK SO _ E: NEW X. REMODEL . -- ? SITE ADDRESS: H U 6 L ' TENANT NAME: '?0g4, 4o $ 61 FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK SUITE #: Name: ?l?s???? bb? ? ?S T5C . phone #: (__U5I ) G 9 +? - U 2- ty ? PROPERTY Last First OWNER Sheet Address: City: State: Zip: Company: W1MOU`ta ??('11T. 1U1'Y11 'lUlYl Phone #: ( q?j Z) CONTRACTOR J•??A Street Address: I 292 ?,vyvmr?A_.??,,4 City: _A }LNOclt? State: "? Zip: ? S? 1 4 ARCHITECT/ ENGINEER Company: Phone #: ( ) Name: Registrarion #: Street Address: OR9 ? u ? ciry: state: F E R 0 6 2002 Licensed plumber inatalling new sewer/water service: Phone #: B I hereby acknowledge that I have read this application, state that the information is correctl% , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: r.?. B Call 651-215-0700 for details. CONSTRUCTION COST: ZliIu, OZ OFFICE USE ONLY SUBTYPE P 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered CI Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other - Copies VALUATION $ % SAC SAC Units Meter Size Total lq,09'r 7987 BIIILDING PERMIT APPLICATION - CITY OF E6GAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIEIIEY3, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEE MIIST DESIGHATE WHICH ADDRESS I5 DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISS[JED. M[JLTIPLE D6IELLINGS - RFSIDENTIAL RENTAL 0NlTS FOR SALE DNTTS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CQLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND ?QU. N PA.T 10 t?: / 00, To Be Used For: _ Valuation: Date: 6?,6?? / Site Address OFFICE USE ONLY Lot ?-? Block /0 ? On Site Sewage_ Occupancy MWCC System ? 2oning Pareel/Sub On Site Well ` Type of Const City 6dater (Actual) Owner (Allowable) f/ 4F of Stories Address ?y?yZ Length City/Zip Code Depth ?SJ?/ s- S.F. Total ?33 Footprint S.F. Phone APPROV9L5 FEFS Contractor r4LT' ??r•cP/ Assessments Permit Water/Sewer Surcharge Address ?,Q.41 F Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter / Bldg Off 8 zm Road Unit Arch./Engr. je?L?j?.t(p?? APC Treatment Pl Variance Parks Address Copies , TOTAL City/Zip Code 4z Phone 4F - ?y 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS1 3 CERTIFICATES OF SURUEY, 1 SET OF ENE Y CALCOLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HONEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ?# OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURUEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhA7ERCIAL INCLODE 2 SETS OF ARCHITECTURAL 1 SET OF SPGCIFICATIONS AND 1 uuiT A? 1 °F4 To Be Used For: dle5iCIPrWL & STROCTURAL PLANS, SET OF ENERGY CALCULATIONS Valuation: 55t000• Date: ;a Site Address JU11-1 4 JArf,K,)W._?.d Lot ? Block ?O_ Pareel/Sub Owner dlvni`,ie?xES 7/j ??nidA/t Address CitylZip Code A?z,o ww Phone 9 33 _aS`6 7 Contractor _ARV?!? Address S/Mr City/Zip Code Phone Arch. /Engr. Address --- Y City/Zip Code Phone ak On site sewage_ MWCC system ` On site well _ City water _ PRJ required ? Booster Pump _ APPROVALS Engr/Assess Planner Council 61dg. Off. Variance Decupancy Zoning Actual Const Allowable 4 of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL I 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS JV9 F INCLUDE 2 SE'TS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIOAiS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MiIST DESIGNATE WHIC[i ADDRESS IS DESIRED. NO CAANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR S9LE UNITS -_ # OF UNITS INCLODE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS uNi r ? `°F /4 To Be Used For: Valuation: SS,Ooa. Date: Site Address Lot ? Block 40- Parcel/Sub J 1,4 1,;e,?? rO? Owner .?a.l?/?1EF a Ne,?liani?p ?e A d d r e s s ly?2 n/(??,A?ur ?/?d City/Zip Code Aftl-A S53/6- Phone l 3 13 - 6r Contractor ?yavEi? ?_ad --4A/c • Address City/Zip Code Phone Arch./Engr. p !' Address City/Zip Code X1d1Myiv1-kA/ Phone 41 T3l714 OFFICE USE ONLY On site sewage _ Occupancy MWCC system _ Zoning ? On site well Actual Const City water ? Allowable PRV required 4l of stories ? Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Sureharge Couneil Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn , Water Meter Road Onit TreatmenL P1 Parks Copies ? , TOTAL i l ?,? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS / ql?q INCLUDE 2 SE'PS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SE OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS -r f4 # OF UNITS INCLUDE 2 SLTS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SE'rS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 UN (7 A 1 6F 4 - To Be Used For: g'i/Llv[-e- & STRUCPURAL PLANS, SET OF ENERGY CALCULATIONS Valuation: 5S,000. Site Address Lot *3 Block JV l/J ' / 3 •? Parcel/Sub f?/ 1//an.t/rN .(P Owner laW14 /i3 Address PJ/6'0( ' City/Zip Code Phone Contractor I?WrN Address ??Mr City/Zip Code Phone Arch./Engr. ?????q???Il 144t"?ry?/ Address /??/ -/ l ! City/Zip Code ?/j/%?+.irJ/)'rG-tJ Phone 4P On site sewage_ MWCC system _ On site well , City water ? PRV required " Booster Pump , APPAOVALS Engr/Assess Planner Counc3l Bldg. Off. Variance ? Date: Oecupaney Zoning , Aetual Const Allowable ? 4t of stories Length _ Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICAT i OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLIVG5 RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SE`PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SE`f OF SPECIFICATIONS AND 1 OrqcTA 1 To Be Used c'or: J?510??G? & STAUCTURAL PLANS, SET OF ENERGY CfiLCULATIOfIS valuation: 55, co 0• Site Address l?.Q??} ?'711 or,JSU?.C!A fKfL ! Lot ? Blcek ? Parcel/Sub _46&3 f d Owner A664A Address City/Zip Code /'/lti 5'S3y? I Phone ?_-GSCa- Contractor Address 6-2 City/Zip Code Phone 1/. 4-RI'A?, Arch./Engr. 1p!'?,(??? Address City/Zip Code /???%l?'?'7?/? Phone lf Date: C -? ^d k OFFICE USE ONLY On site sewage _ Occupaney MWCC system _ Zoning ? On site well Actual Const City water _ Allowable , PRV required # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS Engr/Assess Planner Council Bldg. Off. Variance FEES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L 0 T: 3 B L 0 C K: 4086 MEADOWLARK RD HZLLANDALE 3RD PERMIT SUBTYPE: FIREPLACE 10 APPLICANT: MEAT-N-GLO FIREPLACES (612) 890--0758 TYPE OF WORK: NEW DESCRIPTION (GAS) BuILoxNe 022722 12f14/93 INSPECTION .A . .. GH-IN FINAL ROU ?-- -- _ _ _ . , _. - ? . CITY OF EAGAN PERMIT 383 0 Pdo t n o b o a d PERMIT TYPE: B U I L D I N G Number: 022722 Eagan, Minnesota 55123 Permit (612) 681-4675 Date Issued: 12 / 14 J 9 3 SITE ADDRESS: 4086 MEADOWLARK RD L07: 3 BLpCK: 10 MTLLANCIALE 8F2D colky1 )I YI 0q3 DESCRIPTION: ,-? (GAS) B?u'?lditl?q?;Permit 7ype FIREPLACE ?uil€ling W'o`rk Type NEW ? ?---? 1 C ? C?Lf REMARKS FEE SUMMARY: Base Fee $25.09 Surcharge $.50 7ota1 Fee $25.50 ?qNTRACTOR: - Applicant - s'r. ' zc. OWNER: AT-N-GLO FIREPLACES 1$900758 0002960 PEARSON JOHN 3850 W MWY 13 4086 MEADOWLARK Rq BURNSVTLLE MN 55337 EAGAN MN 55122 (612) 890=0758 (612)687-0466 T hereby acknowledge that I have read thzs applicaCa.vn and state that the ? infnrmation is correcC and agree t;o ccrmpky with al1 appla.cable State ofi Mn. Statutes a-nd City ofi Eagan Or~dinances, APPLICANT/PERMITEE SIGNATURE - IFSUE B SIG ATU ? ? ? REAL7IVA7E _ PERMIT # ' ' 41,79122 CITi'Y" OF EAGAN 1993 BUILDING PERMiT APPLICATION ???? ? 681-4675 SINGLE & MUL7I-FAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy calcs. COMMERCIAL 2 sets of archltectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit 1s typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: rwmjm??/Jj I?Z STREET fU1TE # Tenant Name: (commercial only) LOT BIACK SUBDA I j?p- I ? _.?J? 2._GJ'v J?.,[s.C.? F.D. M _ Descri tion of work: The applicant is: ? Owner _13'Contractor ? OLltel" (Deceribe) Ph one Name Property UST FIaST _ Owner Y}'Io bpd Address [n STREET fTE / - City State Zip 2-2- Company Phone C011tf8CtOf Address License # lU?? Exp. City State rn ti Zip S5_3 37 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. +?? (41j , Signature of Applicant. - urri?t u? W?v?1 BUILDING PERMIT TYPE '. O 01 Foundation 0 06 Duplex ? 11 Apt./Lodging El 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. El 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace D 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning f of Stories Length Depth APPROVALS Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-slte sewage Planning Building Engineering Variance REQUIRED INSPECTIONS O Site ? Footin9 O Wallboard O Final O 16 Basement Finish D 17 swim Pool ? l8 Cortm./Ind. O 19 Cown./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous 0 37 Demolish NWCC System City Mater PRY Required Booster Pump Fire Sprinkler Census Code SAC Lode Assessments O Framing ? Insulation ? Draintile 0 Fireplace Permit Fee Surtharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuetim: $ SAC 76 SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: 3 aLocK: 1e APPLICANT: 4086 MEADOWLARK RD OIKER, WADE HILLANDALE 3R0 (612) 738-3566 PERMIT SUBTYPE: DECK TYPE OF WORK: BUILDING 021465 07/14/93 ADDITION INSPECTION ., . .• FOOTING FINAL ? \ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT . PERMIT TYPE: Permit Number: Date Issued: C` eurLoIroG 021465 0T/14/93 SITE ADDRESS: 4086 MEADOWLARK RD LOT: 3 BLOCK: 10 HILLANDAIE 3RD DE$CRIPTION: B?u'?ld,,??ti?f Permit Type DEGK ?ui lding rk Type ADDITION R-3 ?r. .t #m `?*,.?{uv tr ? o'w ?. ??? REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge $,50 Subtotal $25.50 COPIES $1.00 Total Fee $26.50 CONTRACTOR: - Applicant - OWNER: OLKER. WADE 17383566 PEARSON JUNN 3324 YORK BAY 4086 MEADOWLARK RD WOODBURY MN 55125 EAGAN MN 55121 (612) 738-3566 (612)687-0466 T h?r?1?,y acknow?oAge; tha.t ?t#'d: sta,te that 'e. E ? Infvrmat'lo» is 00rrect dnd' aqrve ta csmplq wi-ttr, St'at* 6`fi Mn, i ?t?tutes *I?d C.ixy,.o'? garr' rcf00#0,., ?4??m APPLIC N/PERMITE I TURE IS UED E[Y.- SI NATU E REALTIYATE _ PERMIT # ' m4ch CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 t ?1 .aQ SINGLE & MULTI-F,4MILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /4_ / /993 Yaluation of work Site Address:__ A6 J. STREET SUITE N Tenant Name: (commercial only) LOT ? BIACK ? SUBD. Fp - I.D. # • i2D A Do ) lJ Descri tion of work: 7>wC i4D The applicant is: ? Owner lJ Contractor ? Other (Deseribe) Name Phone 6&? ^ 6 W6 Property LAST F[RST Owner qddress 7l ZC STREET STE N City State Zip Company Phone 73 S Contractor ) Address 33.z V z4zk /6A4.- License Exp. C i ty State /YdA? Zi p ts r aS' Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: ? OFFICE U5E oNLY BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Owg. O 03 SF Addition 0 04 SF Porch 0 OS SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 B-Plex ? 09 12-Plex ? 10 Multi. Add'1. woRK rrPe O 11 Apt./Lodging 16- Basement Finish ? 12 Multi. Misc. 13 17 Swim Pool D 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. '?15 Deck ? 20 Public Facility • ? 21 Miscellaneous ? 31 New O 33 Alterations ? 35 Tenant Finish O 37 Demolish 1? 32 Addition 0 34 Repair 0 36 Move , GENERAL INFORMATION ' . Const. (Actual) Basement sq. ft. MWCC System (Allowablej . lst F1. sq. ft. City Water UBC bccupancy ? 2nd F1. sq. ft: PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq..ft. Fire Sprinkler Length On-site well Census Code ? Depth 0n-site sewage SAC Code ? APPROVALS 0 Planning Building Assessments Engineering Yariance REDUIRED IN SPECTIONS ? 5ite tKFooting ? Framing ? Insulation ? Wallboard %Fina1 ? Draintile ? Fireplace Permi t Fee 2 S, b• 1 vaiW;d,: $ Surcharge . ? .? Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies 1,00 c Other Tatal: SAC % SAC Units ,.. . . ? w? 3 2 "w ? Z9.oo N M? ? O 4 v M? 9. 00 ? , r Joz, • ,? s.? o ?? r. , T! ?0O ,. S- ?9- , .. ? l6 03? ? 25 00 ? ? ' 494 ^ ?S n n _. ? ? ? ? t. ?•.. ? •?; .?, 5)0 w U ?AI ? A 4a; . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4088 HILLANDALE INSPECTI4N RECORD PERMIT TYPE: Permit Number: Date Issued: 4 B L 0 C K: 10 APPLICANT: LOT: MEADOWLARK 3RD PERMIT SUBTYPE: DEGK RD OLKER, WARE (612) 738-3566 71 : ? _ y. , . ...« ? . . _. TYPE OF WORK: BUILDING 021538 07/21/93 ADDITION . ? ? - CIVOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ,- PERMIT /?e l A0 PERMITTYPE: ? BUILDING Permit Number: 021538 Date Issued: 0 7/ 21 / 9 3 SITE ADDRESS: DESCRIPTION: 4088 MEADUWLARK RD LOT: 4 6LOCK: 10 HILLANDALE 3RD B,uilding.,`Permit Type DEGK lOuiiding 4o?rk Type ADDITION U8G Occupanc?,, R-3 Building Length"?, Building Width ?--? ` ti l ? f t ? 11 9 .. REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $.50 $25.50 CONTRACTOR: - Applicant - OWNER: OLKER, WADE 17383566 RQGER5 J G 3324 YORK BAY 4088 MEADOWLARK RD WOODBURY MN 55125 EAGAN MN (612) 738-3566 (612)687-9708 I hereby acknowledge that I heve read this appiicatian and' stAte that the infarmeZion is correct and agree to camply with all applicable State of Mn. Statutes and City of Eagan 0'rdinancgs. ? APPLICANT/PER ITEE SIGNATURE + -(ISSUED? 9Y. SLGNAT E?- I rc, REACTIVATE _ E??ED 1993 UILD NGA ERMIT APPLICATION PERMIT !? - 191993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specif_ications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of work 2d'7S0 1 1 Site Address: G1Q88 _J ? STREET SUITE 0 Tenant Namec (commercial only) IAT ? BIACK 10 SIIBD.?, P.I.D. M • Descri tion of work: £'CI? The applicant is: ? Owner 0?`6ontractor ? Other (Deseribe) Name AO t 6 c2S Phone Property LAST FIRST Owner Address STREET STE +M City _ !t.4ay4A/ State Zip Company Phone ?73tQ-3XZW' Contractor Address 332? 1,1aa.r 4d?4Y License # F«? Exp. City 1Aoo4wre y State /W/V/ Zip SS Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time far sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: 6 -:2 OFFICE USE ONLY BUILDING PERMIT TYPE O OI Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. D 31 New ? 33 Alterations IL32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2 Zoning N of Stories Length Depth QI -p- APPROVALS ? 11 Apt./,Lodging ? 12 Mu1ti.Misc. ? 13 Garage/Accessory 0 14 Fireplace % 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ?( Footing ? Wallboard )KFinal ? Framing ? Draintile O Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units . Z t?0 --??? vatustian: $ , N?1) emo ?O 16.Basement Fi-nish O 11 Swim Pool ? 18 Comm./Ind. ? 19 Cortun./Ind. Misc. ? 20 Public facility 0 21 Miscellaneous 0 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code ? SAC Code ? 0 Assessments ,c? ,?o, ???u? ?'"% li'uJ HAVEN ENTERPRISES, INC. 14442 Excelsior Blvd., Minnetonka, Minnesota 55345 July 20, 1990 Mr. E.C.Meisinger Meisinger and Meisinger • 60 East Marie AVe. 5uite #109 West St.Paul, Mn.55118 Dear Mr. Meisinger: This letter is in responce to your letter dated July 10, 1990 to Lakewood Townhome Association concerning Joann Rogers at 4088 Meadowlark Road,Eagan,Mn. As 2 told you on the phone last week that the Association Board was to meet on July 18,1990.to talk about the problem that Ms.Rogers was having with her unit. We did meet and Ms.Rogers was present at that meeting, and it was concluded after much discusssions that we will again try and atempt to correct this water problem starting the week of Aug.3rd when she returns . from vacation. Ms.Rogers is to call me directly to let me know when she is back in town so.we can schedule our workers into her unit. I should mention that on July 12,1990 I had sent Mike Kraus, our carpenter, over to her unit to work on this problem and he was denied excess to the unit to make any necessary repairs. Also you should know that when we do send someone out to correct the water problem we will also correct the items in paragraph three of your letter. In addition there are records not only by my firm but also the Association showing that work to correct this water problem has been attempted on three different occasions. In conclusion, as I told Ms.Rogers, we will fix her water problem along with the other corrections but it may still take two or three trips to do so, and that our firm will replace any,damaged plywood and clean the carpet where needed. We wiil also remove and replace any damaged sheetrock or insulation. The statement that this problem has been continuing for 15 months is absolutely untrue, but we hope to have it corrected in the near future. Very truly yours, Steve B. Ramsey . APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN *... .,...>.?,.......... , x _ *NOi'E: PAYt+ESTP OF FEE AT 7RME OF ; * nPrLxcaTTON DoES Nar coN- ; . * S1R7S11E 11PPR017N. OF PERMIT. r ; itusPncriaa oF sEPM nND/oat wAm ; ; irisrALLAxioNS wna. Nor sa scEouc.m ; [?Nl'IL PIItbIIT HAS Bffii APPRWID. ; !liYr!##**i*kitYif##?ff##t#f1ef44i}ii**1e ity oF eagan (PLEASE PRINT 1) PROPERTY ADDRESS: T'FGAT' DE.SCRIPTION: . ^ Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRC'CTORE, DATE OF ORIGINAL Bi7ILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q,COMMERCIAL/RETAIL/OFFICE Q INDC'STRIAL INSTIIUTIONAL/GOVERNMENT f-a?<SINGLE FAMILY M R-2 DT-IPLEX ( 3Wo T-inits ) ffR-3 TOWNHOLSE ( Three + T-laits ) Units ) Q R-4 APARTMENT/CODIDOMINILfi1 Units) 2) . . • NAME: I-G2,'G ? ? ADDRESS: ?G CITY, STATE, ZIP: PHONE: For City Use 3) ' :?• NAME: Pltunbers Lic?'?'e.nse: ADDRESS: ? Active CITY, STATE, ZIP: Expired Not recorded PHONE: MASTII2 LICENSE # .., - . St Initia 4) ??T a?a •.n?; NAME: :,S cS ADDRESS: CITY, STATE, ZIP: PHONE: -?-. 5) ? ? ' a ?+• • o ?.e ?£9Pd?`f ION TO CITY ?p?TION TO CITY WATER ? OTFIER 6) ? ?************************ *************************************************************************? ' TfE GOLD COPY OF THE PERNffT WILL SE SEl1TP DIRDCILY TO PIJSI,IC WORKS TO FACILITATE ME'1M PICK-tTP. * : PLEASE ALLOW 2W0 WORKING DAYS FOR PROCFSSING. SONIEONE FROM TM CITY WILL CONTACT YOU IF TfIERE * ' ARE ANY PROBLEMLS. ?**************************************************************************************************? _ FOR CITY USE ONLY - ` . PERMIT # ISSUED ? ei,5-?, r Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLLDE SURCHARGE) $ $ WATER METER/COPPERHORN/OLiTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATNIENT PLANT SURCHARGE $ $ OTHER: $ - $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F_'_j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE E[VGINEERING NO DIVISION LIST . AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APRLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *NCl1'E: PASMERf OF EEE AT TIME OF * ^w * APrrscATIotv DOES Nar caN- * . * sriztrTE arrxcsvnt, oe rIIUaT. * . + . ; iNSeecrioN oF sEWEa r,nD/oa WATER ;. ,*t I4STALdATIONS WIId. N(7f BE SCIDUI.F9 i t!Nl'IL PIItMIT HLS BffiV pppRU/g). ; citV ?#44#444iYtfi4f*4*iFf*?ft*#*f1/4f#fttf* oF eagan ( PI,EASE PRINT 1) PROPERTY ADDRFSS : LJL.4r- T_F7f_AT• DF5C?2IPTION: . . . Lot/Block/SubdEvision or Tax Parcel ID IF EXISTING STRC'CT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSID LSE: Q COMMERCIAL/RETAIL/OFFICE Q INDT-ISTRIAL Q:INSTITUTIONAL/GOVERPIIyENT Nbnt Year I= R-1 SINGLE FAMILY aR R DUPLEX (Ttao C?nits) -3 TOWNHOLSE (Three.+:Units) Units) Q R-4 APARTMENT/CONIDOMINIUM ( . . . Onits) Z) , °. . tvAME: 'Gce ? L•. ADnxESS: /ak6 q Z: ., ? ,tgi 0 CITY, STATE, ZIP:,S'. PHONE: ec/y 7/? D O 3) ' ? NAME: ADDRESS: --- CITY. STATE, ZIP: . PHONE: MASTER LICENSE # .. 4) -?. •??i? •.i?5?-. NAME: k'?orscS ADDRESS: CITY, STATE, ZIP: PHONE: -1u«wers License: I Active Expired Not recorded Sta Initia 5) s , ,y .?• i : • o .? ?e TION TO CITY S?"CpNNECTION TO CITY WATER a O'rHER 6) ? •. , ?5 =?a S? ? - ?*,r************************************************************************************************:? ? ' TM GOLD COPY OF THE PERMIT WILL BE SENP DIRDL`PLY TO PUSLIC FpRIiS TD FACILITATE MEPER PIQ{-UP. * : PLEASE ALIAW Z4J0 WORKING DAYS FC)R PROCFSSING. SONIEONE FROM TM CITY WILL OONPACT YOD IF TH2E * ' ARE 11NY PROSLENiS. * ?**************************************************************************************************? .fOR CITY USE ONLY . , PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLt'DE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER • $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ -TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATME[VT PLANT SURCHARGE $ $ OTHER: $ - $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQC)IRE EXCAVATION IN PUBLIC RIGHT OF WAY? 71 YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE NO DIVISION LIST ISSUED BY THE ENGINEERING AS CO O . A NDITI N. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APFLICOATION FOR PERMIT SEWER AND/OR WATER CONNEC710N 4. n.....nn.n. wn.. xie::xxxtF.a?> . F* * NM: PA7d+]ESTf OF FEE AT TIME OF ;• ?', * nprLIcaTTON noES Nar coN- ; . ? sizzcrre arrxcrVrL oF eERruT. ; ? INSPF7C1'ION OF SESWER AND/OR WATER *. * I[1STALIATIIXYS WIIS. N(7P BE SCFDK= ? IJNFIL PIItMIT HAS BffiJ APPRCNID. * CRV ftlt4?iff44li4f4l4#*!4f*it*4*Rliflt4lt#* oF ecagan (PLEASE PRINT 1) PROPERTY ADDRESS: LlO g6 ?SO • /? y??0 GJ ?ae?- /? LE7GAL DESCRIPTION;. . Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STROCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSL?ANCE: PRESENT ZONING/PROPOSID USE: ? CONIIvIERCIAL/RETAIL/OFFICE Q INDT-ISTRIAL Q ; INST2IUTIONAL/GpVERNAIENT Mont Year 4_.J ?INGLE FAMILY r_-_:j R-2 DUPLEX (rWo Cjnits) E]?rR-3 TOWNEiODSE (Three +.Onits) Q R-4 APARTMENT/COnDOMINIUM (_Units} ( L?nits ) 2) N11ME: / .. !?o -'- _/„ .40/ , i._ ADDRESS: CITY, STATE, ZIP: --5"4 y PHONE: 3) ' : ?• NAME: c? ADDRESS: CITY, STATE. ZIP: . PHONE: MASTER LICIIVSE # .. 4) e •MU•,i. • NANE: S .a,DDREss: e - - CITY, STATE, ZIP: PHONE: --Lwtu-,eib l,..cense: Ij Active Expired Not recorded Sta Initia 5) s?• a ?• • u i?e ---?ONNECTION TO CITY Sg'a"' i TION TO CITY WATER a OTFIER 6) ,:- - -?- -- -- ? ? S-?a ?******+******************?************************************************?***********************? t ? r THE GOLD COPY OF THE PERMIT WILL BE SENP DIRECPLY TO PUBLIC WORKS 70 FACILITATE MEPER PIQC-UP. * r PLEASE ALIAW 1WA WORKING DAYS FOR PROCESSING. SOMEONE FROM TfE CITY WILL CONPACT YOU IF TEIEFF2E * t1ARE ANY PROBI,E7-0. * k***,t ***,t*** W *******,t*,t,t********,t,t***,t*,t*****************,t,t,t*****************************#*,t*,t**,r**? "FOR CITY USE ONLY , . PERMIT # ISSUED 7 Pd w/Bldg. Permit FEES: $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ - $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLC'DE SURCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRONK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F-I YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSC?ED By THE E[VGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APFLIsfiATION FOR PERMIT SEWER AND/OR WATER CONNECTION - ._.,;........ . .*kN(7PE:- PA5Mff2TP OF FEE AT TIME OF• {x? * nePLscAMort ooES taox ccN- ; . * sriltrre nprxwar. OF rOrQT. ; . * . ; nvsrncrsaa OF sEWx nrm/oR wrM ;. ; irsracar.TTONs wUL Mr eE scEn[n.En * * ITTi'iL PERFffT HAS BffiN pppgpyFD. ? •'#iY4kf44#4!Y#!t1 *'k1` f'tit f #f *ii ?f'f 1f4ttl4 ity OF eagan (PLEASE PRINT 1) PROPERTY ADDRESS: -_- /? r? sc"'Z6 L-/ I,EGAL DESCRIPTION: . . . . . . . . . . . . . . . Lot B ock S vision or Tax Parcel ID TT- IF EXISTING STRL'CTC?RE, DATE OF ORIGINAL BUILDING pERMIT ISSUALVCE: PRESENP 7ANI[VG/PROPOSID USE: Q . CONA7EFtCIAL/RETAIL/OFFICE Q INDT-ISTRIAL a INSTITUTIONAL/GOVERNMENT 2) ,". NAME: Nbnt Year SINGLE FAMILY ? R-2 DLPLEX ('itao L?nits) ffR-3 TOWNHOLSE (Three.+,Units) Q R-4 APARTMENT/CONIDOMINIUM ADDRESS: .,? Lfl Cf --2 CITY, STATE, ZIP: PHONE: 3) NAME: ADDRESS: CITY, STATE, ZIP: . ... ....... . PHONE: MASTII2 LICENSE # 4) NAME: ADDRESS: CITY. STATE. ZIP: n ,-i C ? ? - ?C? ?t/ • ,?,5? ?? PHONE: -3- - Units) ( Onits) Use Pl s •License: 1 Active Expired Not recorded Sta Initia 5 ) s m . a • ?• i • o . ? a?e ?-? CONNECTION TO CITY S?ONNECTION TO CITY WATER a OTfm 6? ,**************************************************************************************?***********? : TfE GOLD COPY OF TfE Pg2NIIT WILI, gE SEW DIREC`12,Y TO PUBLIC WORKS TO FACILITATE MEPER PICK-UP. * PLEASE AL1AW Tn10 WORKING DAYS FOR PROCFSSING. SOMEONE FROM TM CITY WILL CONrACT YOL IF TIME * ARE ANY PROELEM. * **************************************************************************************************? :-FOR CITY USE ONLY " . - PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SLRCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WA.TER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ $ WAC . $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED By THE ENGINEERING E3 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 onTe- 19? AMOUNT $ ? p b D & DOL! ?RS ?ro ? CASH ?`?ld/CHECK . F? 1 2? ? l.C CASH RECEIPT FUND OBJECT AMOUNT O C ? ? ?--P r ? ?? 3 7 3 TZ1 a u Thank You BY No QQWhite-Payers CoPV 87976 YeNovrFOSbig i,upy Pink-File Copy I O 6 / V? 2004 RESIDENTIAL BUII.DING PERIYIIT APPLICATION City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 qO ?. ? Telephone # 651-675-5675 FAX # 651-675-5694 .?;?. New Construction Reouirements RemodeURepair Reauiremenls Offee Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and a11 roofed areas 2 copies of plan Cert of Surveg ReccY (20% maximum lot coverdge allowed) 1 set of Energy Calculations for heated additions Tree,Pres Plan Recd . Y_ N' 2 copies of plan showing beam & window sizes; poured (ountl design, etc. 1 site survey for additions & decks Tree Pres Reguved ^ Y. ` N 1 set of Enargy Calculations AddiG'on - indicate if on-sife septic system ,Dh-site Septic System 3 copies of Tree Preservalion Plan if lot platted after 711193 Rim Joist Depil Options selec6on sheet (bldgs with 3 or less unifs <j Date Construction Cost O( 5,? Site Address ?,?? ,? ,(,? Unit/Ste # r?5s/a Description of Work ?a,CQ '1LoQ .-? Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(bC--h 07 Contractor Address City State Zip Telephone#(15Z) /-&6'94Y&/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor 5ewer/Water Contracfior Telephone # f Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information that the work will be in conformance with the ordinances and codes of the City of E: Statutes; I understand this is not a permit, but only an application for a permit, and wo permit; that the work will be in accordance with the approved plan in the case of work w approval of plans. a Q/Iri J' Yo t*vs ? Applicant's Printed Name Applicant's OFFICE U5E ONLY 5ub Types :1 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types 0 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES 5AC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaUC.O. FinallNo C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ 5tone _ Brick Windows Retaining Wall Building Inspector amEmb 4T" City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? ???iQ? eUse ---- - - Permit #: ? I ? 20Q?, I Permit Fee: I Date Received: ? ? I ? j Staff: I L -----------------I 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: 4-' ';Z74-z?15- Site Address: ?eQ i A"odouV/v?j 2 9 iy Tenant Name: le,& (Tenant is: New / Existing) Suite #: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor ` TYPE OF WORK Description ofwork: /'-P h"iAV.1 Z5-11e ?Z1??1.,Si?Hr Construction Cost: 70</. °? ? CONTRACTOR Name: License#: 35 O Y Address: zz Zip: City: State:,/;e 2 Contact Person: ef r ? 17-1 Phone: ,21 ARCHITECT / Name: Registration #: ENGINEER , Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: " NOTE:"Plans an`tl su'pportin`g documents that you su6mit are consrdered to be$pubNc°informafion Portions of;' the informafion may be classified asxnon puLilic rf you prov?cle spe'c?frc ieasons'that would perm?t ffie Cify to -` - ,. .concludeRthatthe I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to staR without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x1, a (.c? /l? l41?h.1 x Applicanft Printed Name App ic? s Signature ` Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: O Foundation ? Public Facility ? Accessory Building ? Apartments ? Commercial ! Industrial ? Ext. Alteration-Apartments X Lodging ? Greenhouse ? Ext. Alteretion-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior X Alteration ? Fire Repair ? Demolish Foundation ? Replacement E3 Windows ? Water Damage ` Demolition (entire buiiding) - give PCA handout to applicant DESCRIPTION: CCC??? Valuation ? Occupancy Z,02G.3 MCES System - Plan Review Code Edition ,Z4"G SAC Units (25%_ 100% i! ) Zoning City Water Census Code I'/ 3y Stories -- Booster Pump ' # of Units .L?. Square Feet - PRV # of Buildings / Length ? Fire Sprinklers Type of Const. ? Width - REQUIRED INSPECTIONS Footings (new bidg) Sheetrock Footings (deck) FinaUC.O. Footings (addition) FinallNo C.O. Foundation ? HVAC _ Drain Tile Other: Roof: _ Decking _ Insulati on _ Final _ IceNVater Pool: _Footings _AidGas Tests _Final ? Framing _ Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. AirTest _Final Windows Insulation _ Retaining Wall Final C/O Inspection: Schedule ' Marshal to be prese nl. _ Yes _ No Reviewed By: Building Inspector Reviewed By: Ptanning COMMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAC-C ity S/W Permit SNV Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply 8 Storage (WAC) ? y3 - 1,7 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk Page 2 of 3 } RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?? I OO 1 3830 PILOT KNOB RD - 55122 E'J ?0 651-681-4675 NewConstructian Reauirements • 3 registered sile surveys showing sq. k. of lot, sq. ft. oi house; and all roofed areas (20qo maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 7 set of Energy Calculations • 3 copies of Tree Preservalion Plan if lot platted aRer 7l1193 • Rim Joist Oetail Options selection sheet (bldgs with 3 or less units) DATE JOB SITE ADDRESS 170 b Z`?U?7 9 qlq)?5 RemodellReoair Reauirements • 2 copies of plan . 1 set of Energy Caldilations for heated additions . 1 site survey for exterior addifions & decks . Indicate if home served by septic syslem for additions , 'VA?L/ bt UA' ? , If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWI TYPE OF WORK APPLICAI ADDRESS PAGER # A_ Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: _ Air CondiLioning Fee: $7 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that infor ation is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciiy of Eag n Or i n s. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan ceived _ Not equired _ Updated 1101 NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY FIREPLACE(S) 1 _ 2 7?3d PHONE# ZIP CODE CELL PHONE # l /`Z -7?I`?? ? FAX # Water Softener Water Heater No. of Baths Phone # Fee: $90.00 Phone #: L,awn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg onl» - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addirion) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8? Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. _ FinaUNo C.O. HVAC Building Inspector PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108619 Date Issued:12/21/2012 Permit Category:ePermit Site Address: 4082 Meadowlark Rd Lot:1 Block: 10 Addition: Hillandale 3rd PID:10-32952-10-010 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ryan Koshiol 4082 Meadowlark Rd S Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 60. C!tyofEaaii Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 s r Use BLUE or BLACK Ink For Office Use Permit #: 1 3a3 Permit Fee: /' S Date Received: 60 13/ 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT ( APPLICATION -` 1- LS Site Address: l(,I' - ilQgq - O8 - 1 o88 5. / (ei ctoJQf^f/ Name: La61,00001 -kWh 614€ f 1& - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: -j-eo (CC Construction Cost: o� 00 Multi -Family Building: (Yes X' l Ms ) Company: /1)M J riQ%S 1'ty SAA lAk- Contact: 5111A ,dire] / Address: 10701 `731M1 AtT. N City: /lope. GrO V . State: A) Zip: 523 05 Phone: C7 ,3Q51f3 1�-snf ` g<1 /0 0 #: License /� Lead Certificate #: fV �ffi' (;21110 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: IN©TE: Plans and supporting documents that you subs r ars corrsldened fo be pubi c In forma on. Portions o, the infor ra# a naJ be a%moi as non -publi CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota StalBui� �r)j o �, must be completed within 180 days of permit issuance. x c12 of_ Applicant's Printed Name x Applicant's Sijriature Page 1 of 3  !" #$%&'()'*+*, -./$%'"&0-1 -FJ*,$F*2 -./$%'53/4-.16789;?9 <*%-'!==3->1?7@79@A?7: -./$%'#*%-+(.&1--./$% B$%-'6>>.-==1''9?KA'' -*>(E2*.M'>''  !#$%& ''!5())**+ ''D*$$-+)-$1'ZC) 234 !56Z7U876!565!5' :;1 <-=F.$0%$(,1 <=>'?@A1 /1;*)1+*-$ BC&'?@A1 /1A$-%1 41;%C*A*+ ,=C+-%1 \\=1;*+;'C10-C)*+0'1$1%C*%-$'A1CI*'C1Q=*C1I1+;';M=$)'>1')*C1%1)''<-1'X$1%C*%-$'3+;A1%C\]'E-C&'(+)1C;+'-'JU87L' #(//-,%=1 VV8679V5N O-C>+'I+P*)1')11%C;'-C1'C1Q=*C1)'.*M*+'!5'G11'G'-$$';$11A*+0'CI'A1+*+0;'*+'C1;*)1+*-$'MI1;'JE*++1;-'<-1' EX'6'21CI*',11'J/1A$-%1I1+;LT8UN55'595!NV599 D--'B3//*.&1 <=C%M-C016,*P1)T!N55'U55!N7!U8 "(%*21G:?H??' #(,%.*F%(.1IE,-.1 6''(AA$*%-+''6 21CG1%*+'D1-*+0'R'(S%E-I1'<'\[1I1%M !""5'\[1CW-*;'(W1V597'E1-).$-C&'/) E-A$1.)'EH''88!5UX-0-+'EH''88!77 JK8!L'"""6"K75 3'M1C1>@'-%&+.$1)01'M-'3'M-W1'C1-)'M*;'-AA$*%-*+'-+)';-1'M-'M1'*+GCI-*+'*;'%CC1%'-+)'-0C11''%IA$@'.*M'-$$'-AA$*%->$1'<-1' G'E*++1;-'<-=1;'-+)'O*@'G'X-0-+'YC)*+-+%1;N (AA$*%-+S21CI*11 '<*0+-=C13;;=1)'#@ '<*0+-=C1 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136453 Date Issued:05/12/2016 Permit Category:ePermit Site Address: 4082 Meadowlark Rd Lot:1 Block: 10 Addition: Hillandale 3rd PID:10-32952-10-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mame S Gemech 4082 Meadowlark Rd Eagan MN 55122 Perfection Heating & A/c 1770 Gervais Ave Maplewood MN 55109 (651) 777-7620 Applicant/Permitee: Signature Issued By: Signature f For Office Use Lf/ Permit#: E AGA Ec E4 66 ra /37. 0 Permit Fee: � Date Received: 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �•'�-q (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 4PR -1=- Staff: buildinginspections(@cityofeagan.com 3 By: 2019 RESIDENTIAL BUILD E IT APPLICATION ---14013 Date: Site Address: Z �` -�:�c���;/� Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: PLC )4 ,D, -c c Tyle n Construction Cost: (2)"5 C G' — Multi-Family Building: (Yes /No ) Company: 0, rc 0(2-‘n S ^v Nib Contact: (i h,� 6Z MN) Contractor Address: Z/41 � 0 City: "it's State:i`�n ti• Zip: l z z Phone: 6257-Z io - O cEmail: �4 fir.^f /J'J c- 6'i"v` License#: (C25-00/ Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: 5 Pr,r) 70/L.15'� pleja'2',J 771 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gonherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not o start without a permit; that the work will be in accordgnce with th approved plan in the case of work which requires a review and approva of pia s ii � J , �f \,�/r x I;'n T j�vll x it�lt 44 Applicant's Printed Name Applicant's Signature 1 k'__ %11 t 1 te- i 1).eig(laeD)atz , _ 1 (-/ 77 DO NOT WRITE BELOW THIS LINE SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi/ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous lU 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation iReplace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION _ Valuation 4/ 3V o :-ITR R c —3 MCES System Plan Review Code Edition 1/Y)"2e/g SAC Units (25%ke 100%_) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: l Footings (Deck) Final/C.O. Required Footings (Addition) 90 Final/No C.O. Required Foundation Foundation Before Backfill ( HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water Final Pool: Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: I� m %k1 y I- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174517 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4082 Meadowlark Rd Lot:1 Block: 10 Addition: Hillandale 3rd PID:10-32952-10-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mame S Gemech 4082 Meadowlark Rd S Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature